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Vol. 14. Issue 2.
Pages 132-142 (June 2010)
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Vol. 14. Issue 2.
Pages 132-142 (June 2010)
Open Access
Inhibidores de la integrasa y raltegravir en el manejo de la infección por virus de la inmunodeficiencia humana en la era de la resistencia a múltiples medicamentos
Integrase Inhibitors and raltegravir use in the management of HIV infection in the era of multidrug resistance
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Fredy Guevara1,
Corresponding author
freddyorlando79@gmail.com

Departamento de Medicina Interna, Fundación Santafé de Bogotá, Calle 119 N° 7-75, piso 2, Bogotá, D.C., Colombia. Teléfono: 603-0303, extensión 5191.
, Francisco Blanco2, Miguel Arredondo2,3
1 Departamento de Medicina Interna, Fundación Santafé de Bogotá, Residente en Infectología, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
2 Sección de ensayos clínicos, Departamento de VIH y Enfermedades Infecciosas, Hospital Carlos III, Madrid, España
3 Sección de Biología Molecular, Departamento de VIH y Enfermedades Infecciosas, Hospital Carlos III, Madrid, España
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Resumen
Resumen

La infección por el virus de la inmunodeficiencia humana ha generado un impacto mundial que ha sobrepasado los cálculos iniciales previstos para esta enfermedad. En la actualidad, se hace necesaria la búsqueda de nuevos medicamentos antirretrovirales dentro de las familias de medicamentos conocidas, pero, aún más importante, es la búsqueda de nuevos blancos terapéuticos sobre los cuales incidan los fármacos a los que no ha estado expuesto el virus y, asimismo, ante los cuales no presentan resistencia natural.

Los inhibidores de la integrasa constituyen la familia de medicamentos antirretrovirales más recientemente aprobada para uso clínico. El raltegravir es un medicamento nuevo, con atributos importantes que lo hacen una herramienta que se debe tener en cuenta en esquemas de rescate, terapia de cambio y acorde con la consideración de paciente naive, es decir, sin tratamiento previo con este fármaco.

Palabras clave:
MK 0518
inhibidores de la integrasa
terapia antirretroviral
Abstract

Immunodeficiency virus infection in humans (HIV) has generated a worldwide impact exceeding initial estimates for this disease. At present, it is necessary to search for new antiretroviral drugs within the families of known medication, but the search for new therapeutic objectives under the effect of medication which has not been exposed to the virus and, therefore without natural resistance to it, is even more important. Integrase inhibitors are the family of antiretroviral medication most recently approved for clinical use; raltegravir is a new drug with important attributes that make it a tool to be considered in rescue regimens, change therapies, and naïve patient particular cases.

Keywords:
MK 0518
HIV intregrase inhibitors
antiretroviral therapy
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Copyright © 2010. Asociación Colombiana de Infectología (ACIN)
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